The population of patients presenting for care without benefit of health insurance is soaring in the U.S. These patients are uninsured either by personal choice or they are not in an employment situation that offers the coverage. Patients without health insurance are not necessarily indigent patients. Many uninsured can manage a significant portion of the debt. Wealthy uninsured are demanding a pricing scheme that is on par with the arrangements offered to the insurance companies. There is a patient population who is neither indigent nor wealthy. These middle ground patients will generally pay what they can afford to pay. The ability to "afford" can vary but the bottom line is consistent: very few can afford to pay the gross costs. The final patient grouping is the truly indigent patient who is still not covered by a public program. The size of this group is predicated on the individual state's public programs. Increasingly in the United States, this group is growing as a result of immigration, including both documented and undocumented workers. During this session, we will discuss the common denominators that allow your company to accommodate all three groups. We will talk about the strategies that plan for and achieve success with the uninsured populations.